ACOG Notes Questions with Complete
Solutions
what is differential for culture - urinalysis? gonorrhea/chlamydia/trich
when do paps start 21 regardless of sexual activity
every 3 years cytology only until 30
30-65 cotesting every 5 years
when can paps stop? 3 consecutive - paps after 65
OR
2 consecutive cotestings
,NO HISTORY OF HIGH GRADE OR CANCER
*still need bimanual
what is done with ASGUS? do an HPV screen or repeat in 12 months, if positive do colpo
recommendations mammograms ACOG: yearly starting at 40
USPSTF: every 2 years starting at 50
colonoscopy ages start age 50 every 10 years (or sigmoidioscopy at 50 every 5 years)
DEXA age 65 or early alcohol, smoking, hyperthyroid, family hx, etc
*osteopenia = -1 to -2.5
*osteoporosis = less than -2.5
,trx osteoporosis? bisphosphonates and repeat DEXA every 2 years
when do CV labs start? age 45 every 5 years through 75
when are fasting blood glucose levels drawn? starting at 45 every 3 years
when is urinalysis screening done? over age 65 because risk of urosepsis
when do elderly get varicella vaccine? age 60 (even if they already have shingles)
can you give HPV vaccine while pregnant? NO
what does folate do? reduces MIs and fatal coronary events in women by lowering
homocysteine levels
markers that decrease in menopause? AMH is earliest marker
, inhibin B
estradiol
when is HRT safe for menopause? women in 50s
less than 6 months use
NOT recommended to prevent heart disease (lowers LDL and raises HDL) b/c risk of breast
cancer
*can also use clonidine or SSRI
what is generic name copper IUD? paraguard
*99% emergency contraceptive effective
what is efficacy of levonorgestrel (plan B), multiple OCPs, and ulipristal acetate (ella) 75%
Solutions
what is differential for culture - urinalysis? gonorrhea/chlamydia/trich
when do paps start 21 regardless of sexual activity
every 3 years cytology only until 30
30-65 cotesting every 5 years
when can paps stop? 3 consecutive - paps after 65
OR
2 consecutive cotestings
,NO HISTORY OF HIGH GRADE OR CANCER
*still need bimanual
what is done with ASGUS? do an HPV screen or repeat in 12 months, if positive do colpo
recommendations mammograms ACOG: yearly starting at 40
USPSTF: every 2 years starting at 50
colonoscopy ages start age 50 every 10 years (or sigmoidioscopy at 50 every 5 years)
DEXA age 65 or early alcohol, smoking, hyperthyroid, family hx, etc
*osteopenia = -1 to -2.5
*osteoporosis = less than -2.5
,trx osteoporosis? bisphosphonates and repeat DEXA every 2 years
when do CV labs start? age 45 every 5 years through 75
when are fasting blood glucose levels drawn? starting at 45 every 3 years
when is urinalysis screening done? over age 65 because risk of urosepsis
when do elderly get varicella vaccine? age 60 (even if they already have shingles)
can you give HPV vaccine while pregnant? NO
what does folate do? reduces MIs and fatal coronary events in women by lowering
homocysteine levels
markers that decrease in menopause? AMH is earliest marker
, inhibin B
estradiol
when is HRT safe for menopause? women in 50s
less than 6 months use
NOT recommended to prevent heart disease (lowers LDL and raises HDL) b/c risk of breast
cancer
*can also use clonidine or SSRI
what is generic name copper IUD? paraguard
*99% emergency contraceptive effective
what is efficacy of levonorgestrel (plan B), multiple OCPs, and ulipristal acetate (ella) 75%
